LCDActive
MolDX: Genetic Testing for Hereditary Thrombophilia
L40273
Policy Summary
Hereditary thrombophilia genetic testing is covered for germline tests that will inform VTE management when the patient has VTE associated with ASH-defined non-surgical major transient or hormonal risk factors, or presents with cerebral or splanchnic venous thrombosis where testing will affect long-term anticoagulation. Covered tests must include ASH-guideline-supported minimum genetic content (or a single known familial variant), be limited to validated content, not conflict with repeat germline testing policy L38429, and must have completed a MolDX Technical Assessment.
Coverage Criteria Preview
Key requirements from the full policy
"Genetic testing for hereditary thrombophilia is covered when the patient has venous thromboembolism (VTE) and the VTE is associated with non-surgical major transient or hormonal risk factors as def..."
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